Orthopedic implant in the form of a plate to be fixed between two bone parts

ABSTRACT

The invention relates to a plate fixed between two bone parts by way of screws engaged in holes formed in the thickness of said plate. The plate comprises an angled member or rib which is inclined according to an angle of between about 30° and 60° in relation to the plane defined by the plate. The angled member or rib has a hole for engaging a screw and is located in the central part of the width, over a determined part of the length of the plate, so that the screw brings the two bone parts into a compressive position.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. application Ser. No. 14/041,706, filed Sep. 30, 2013, which is a continuation of U.S. application Ser. No. 12/918,071, filed on Oct. 29, 2010 and now U.S. Pat. No. 8,556,946, which is a national phase entry under 35 U.S.C. §371 of International Application No. PCT/FR2009/051879, filed Oct. 2, 2009, published in French, which claims priority from French Patent Application No. 0856694, filed Oct. 2, 2008, all of which are incorporated herein by reference in their entireties.

BACKGROUND OF THE INVENTION

The invention relates to the technical field of orthopedic implants.

More particularly, the invention relates to a plate for arthrodesis or osteosynthesis adapted to be fixed between two bone parts.

In a manner known to one having ordinary skill in the art, this type of plate generally has holes for engaging screws, allowing arthrodesis between two bones or osteosynthesis between two bone fragments. This is, for example, the case for bones of the hand or foot, without however excluding other applications, particularly in the field of the spine. Depending on the pathology to be treated, these plates can have a general rectilinear or other geometric shapes.

From this state of the art, one of the objects the invention proposes to attain is to improve, in a sure and efficient manner, compression in a precise direction between the bone parts subjected to the plate.

To attain the given object to enhance the compression between the two relative bone parts, according to the invention, the plate has a formation that orients at least one screw at an angle with respect to a plane defined by the plate, the angle being between about 30° and 60°.

According to an advantageous embodiment, the formation is a tab that is angled according to an angle between 30° and 60°, and having a hole for engaging the screw. The angled tab results from a cut out and a deformation of a portion of the plate.

In another embodiment, the formation is a hole angled at an angle between 30° and 60° for engaging the screw.

Considering the problem to be solved, the formation is located on a determined portion of the length of the plate so that the screw ensures the compression of the two bone parts.

BRIEF DESCRIPTION OF THE DRAWINGS

The invention is described hereinafter in more detail, with reference to the attached drawings in which:

FIG. 1 is a perspective view of an embodiment of the plate;

FIG. 2 is a side view of the plate;

FIGS. 3 and 4 are perspective views showing the mounting of the plate between two bone parts and their orientation by means of the plate according to the invention, the bone parts being shown schematically.

DETAILED DESCRIPTION

According to the invention, the plate 1 has at least one formation 1 a adapted to enable the positioning of at least one screw 2, at an angle α of between 30° and 60° with respect to a plane of the plate (FIG. 2).

In one embodiment, the formation 1 a is an angled tab cut out and deformed from the plate. For example, the deformation is made with a cutting-punching operation. This angled tab has a hole 1 a 1 for screw 2. The angled tab 1 a is positioned along the length of the plate so that after the screw 2 is fitted to it, the screw ensures the compression together of the two bone parts, as indicated below in the description.

In another embodiment, to allow for an angular orientation of the screw 2 according to an angle between about 30° and 60°, the formation 1 a can be formed as an angled hole. It must be noted that the tab 1 a enables adaptation of the angle as a function of the pathology to be treated, given that it is possible to deform this tab at will. In other words, the angle can be adjusted over a few degrees directly by the surgeon in the operating room, using an appropriate tool.

With reference to FIGS. 3 and 4 that show the positioning of the plate 1 between two bone parts O1 and O2:

Once the osteotomies have been carried out, a template of the plate, which does not have a guide formation, enables the position of the tab to be determined.

After determining the position of the tab, the surgeon makes a corresponding recess with the appropriate rasp.

Once the plate having the tab has been positioned, the surgeon sets one or two screws 3, on a side of the site of the osteosynthesis or the arthrodesis toward the tab. A temporary fastening pin can, possibly, be positioned in a complementary lug.

The screw 2 is then engaged in the hole 1 a 1 of the tab 1 a to place the fracture in compression.

Once the compression has been done, the surgeon can screw one or several other additional fastening screws 3 and remove the temporary pin.

In a known manner, this plate 1 has smooth and/or threaded holes for the fastening screws 3 set in the bone parts O1 and O2 to engage in, as shown in FIGS. 3 and 4.

Similarly, the plate 1 can have at least one hole 1 c for a pin for temporarily positioning the plate 1. Advantageously, the plate 1 can have a guide 1 c for the insertion of a pin on the side of one of the bone parts O1 and another guide 1 d for the insertion of another pin on the side of the other bone part O2.

Considering the effect of the desired compression, such as indicated above, the guide 1 c is a circular hole whose diameter corresponds substantially to that of the pin, whereas the other guide 1 d can be an elongated slot.

These provisions thus enable the bone to slide under the plate 1 as the screws are set, while ensuring compression along a precise direction, generally axially or parallel to the plate. The pins are of any known and appropriate type, and perfectly known to one having ordinary skill in the art.

The plate 1 can have several shapes, so that the holes 1 a in particular can be aligned or arrayed, all or in part, according to the corners of a triangle or of a quadrilateral. These provisions, in triangle or in quadrilateral, of the screws, improve the stability of the mounting.

It must be noted also that the plate 1, no matter its shape, can be longitudinally bent so as to adapt to the curvature of the bone, consequently enabling the screws to form an angle between them.

The advantages are readily apparent from the description. 

The invention claimed is:
 1. An orthopedic implant comprising: a plate having top and bottom surfaces and a length sufficient to span a fracture or joint of a patient, such that the plate is positioned alongside first and second bone parts or bones straddling the fracture or joint, the plate including an angled extension extending at an angle to the bottom surface of the plate below the bottom surface of the plate, the extension including a first hole arranged at an angle relative to the bottom surface of the plate, the angle of the first hole directing a first fixation member inserted through the first hole at an angle configured to cross the fracture or joint, wherein the angle of the first fixation member relative to the plate is adjustable, and wherein the first hole has a diameter that is less than a diameter of a head of the first fixation member; and a guide slot formed through the plate above the first hole, the guide slot at least partially defining a fixation pathway extending from the top surface of the plate through the first hole of the extension, the guide slot being sized to allow passage of the first fixation member and its head into the first hole along the fixation pathway.
 2. An orthopedic implant as claimed in claim 1, further comprising a second and third hole spaced apart by a distance sufficient to span the joint or fracture, the second hole being positionable over a first bone part or bone of the fracture or joint and the third hole being positionable over a second bone part or bone of the fracture or joint.
 3. An orthopedic implant as claimed in claim 1, wherein the extension is a tab extending from the bottom surface of the plate.
 4. An orthopedic implant as claimed in claim 1, wherein the guide slot is bounded by non-threaded side walls extending through the top and bottom surfaces of the plate, the side walls being dimensioned to allow insertion of the first fixation member through the guide slot and into the first hole.
 5. An orthopedic implant as claimed in claim 1, wherein a central axis of the first hole extends at an angle of between about 30° and 60° with respect to the plate.
 6. An orthopedic implant as claimed in claim 2, wherein the second and third holes are locking holes adapted to fixedly secure fixation members to the plate.
 7. An orthopedic implant as claimed in claim 1, wherein portions the bottom surface of the plate entirely surround the extension, the portions being arranged to contact bone when the implant is implanted.
 8. An orthopedic implant as claimed in claim 1, wherein the angle of the extension relative to the plate is adjustable.
 9. An orthopedic implant as claimed in claim 8, wherein the extension is bendable to adjust the angle of the extension relative to the plate.
 10. A system including an orthopedic implant as claimed in claim 1, in which the system further comprises a template of the plate for use in determining the position of the extension against bone.
 11. A method of using an orthopedic implant as claimed in claim 1, comprising: providing the orthopedic implant of claim 1; positioning the plate against first and second bones spanning a joint of the patient; and inserting a fixation member through the first hole so that the fixation member crosses the joint and compresses together the first and second bones to affect fusion.
 12. A method of using an orthopedic implant as claimed in claim 1, comprising: providing the orthopedic implant of claim 1; positioning the plate against first and second bone parts spanning a fracture of the patient; and inserting a fixation member through the first hole so that the fixation member crosses the fracture and compresses together the first and second bone parts to affect fusion.
 13. An orthopedic implant comprising: a plate having top and bottom surfaces and first and second holes adapted to receive fixation members, the first and second holes being spaced apart by a distance sufficient to span a joint or fracture of a patient, such that the first hole is positioned over a first bone portion and the second hole is positioned over a second bone portion, the plate including an angled extension extending at an angle to the bottom surface of the plate below the bottom surface of the plate, the extension including a third hole arranged at an angle relative to the bottom surface of the plate, the angle of the third hole directing a first fixation member inserted through the third hole at an angle configured to cross the fracture or joint, wherein the angle of the first fixation member relative to the plate is adjustable, and wherein the third hole has a diameter that is less than a diameter of a head of the first fixation member; and a guide slot formed through the plate above the third hole, the guide slot at least partially defining a fixation pathway extending from the top surface of the plate through the third hole of the extension, the guide slot being sized to allow passage of the first fixation member and its head into the third hole along the fixation pathway.
 14. An orthopedic implant as claimed in claim 13, wherein the extension is a tab extending from the bottom surface of the plate.
 15. An orthopedic implant as claimed in claim 13, wherein the guide slot is bounded by non-threaded side walls extending through the top and bottom surfaces of the plate, the side walls being dimensioned to allow insertion of the first fixation member through the guide slot and into the third hole.
 16. An orthopedic implant as claimed in claim 15, wherein a central axis of the third hole extends at an angle of between about 30° and 60° with respect to the plate.
 17. An orthopedic implant as claimed in claim 13, wherein the first and second holes are locking holes adapted to fixedly secure fixation members to the plate.
 18. An orthopedic implant as claimed in claim 15, wherein portions the bottom surface of the plate entirely surround the extension, the portions being arranged to contact bone when the implant is implanted.
 19. An orthopedic implant as claimed in claim 13, wherein the angle of the extension relative to the plate is adjustable.
 20. An orthopedic implant as claimed in claim 19, wherein the extension is bendable to adjust the angle of the extension relative to the plate.
 21. An orthopedic implant as claimed in claim 13, further comprising an elongate hole adapted to receive a guide wire, wherein a width of the elongate hole is substantially equal to a diameter of the guide wire, while a length of the elongate hole is greater than the diameter of the guide wire so that the guide wire can translate within the elongate hole.
 22. An orthopedic implant comprising: a plate having top and bottom surfaces and first and second holes adapted to receive fixation members, the first and a second holes being spaced apart by a distance sufficient to span a joint or fracture of a patient, such that the first hole is positioned over a first bone portion and the second hole is positioned over a second bone portion, the plate including an angled extension extending at an angle to the bottom surface of the plate below the bottom surface of the plate, the extension including a third hole arranged at an angle relative to the bottom surface of the plate, the angle of the third hole directing a first fixation member inserted through the third hole at an angle configured to cross the fracture or joint, wherein portions the bottom surface of the plate entirely surround the extension, the portions being arranged to contact bone when the implant is implanted, wherein the angle of the first fixation member relative to the plate is adjustable, and wherein the first hole has a diameter that is less than a diameter of a head of the first fixation member; and a guide slot formed through the plate above the first hole, the guide slot at least partially defining a fixation pathway extending from the top surface of the plate through the first hole of the extension, the guide slot being sized to allow passage of the first fixation member and its head into the first hole along the fixation pathway.
 23. An orthopedic implant as claimed in claim 22, wherein the extension extends at an angle of between about 30° and 60° with respect to the plate.
 24. An orthopedic implant as claimed in claim 22, wherein the first and second holes are locking holes adapted to fixedly secure fixation members to the plate.
 25. An orthopedic implant as claimed in claim 22, wherein the angle of the extension relative to the plate is adjustable.
 26. An orthopedic implant as claimed in claim 25, wherein the extension is bendable to adjust the angle of the extension relative to the plate.
 27. An orthopedic implant as claimed in claim 22, wherein the extension is a tab extending from the bottom surface of the plate.
 28. An orthopedic implant as claimed in claim 22, wherein the guide slot is bounded by non-threaded side walls extending through the top and bottom surfaces of the plate, the side walls being dimensioned to allow insertion of the first fixation member through the guide slot and into the third hole. 